JEFFREY BERMAN ARCHITECT

SURGICAL DAY HOSPITAL &CENTER FOR IMAGE GUIDED INTERVENTIONHealthcare Design for Evolving Science, Medicine & Technology

MEMORIAL SLOAN–KETTERING CANCER CENTER

Surgical Day Hospital & Center for Image Guided Intervention

As part of a continuing commitment to pro-vide its patients with the latest medical

and technological advances in cancer treat-ment, Memorial Sloan-Kettering Cancer Cen-ter (MSKCC) has created a new cancer treat-ment center where minimally invasive surgery, interventional radiology, interventional en-doscopy and radiation oncology can be prac-ticed together. The mission of the new Center is to study and evaluate novel and evolving technologies and, ultimately, to translate them into practical clinical applications. This minimally invasive, multidisciplinary and im-age guided approach promises to decrease costs, reduce operating room time, shorten hospital stays, minimize risks and complica-tions, improve patient outcomes and treat diseases resistant to traditional therapies.

The creation of a facility of this complexity re-quires the services of a firm with a proven track record in the design and construction of facili-ties that house highly advanced medical tech-nology. For Memorial Sloan-Kettering Cancer Center, the clear choice was Jeffrey Berman Architect (JBA). Over the past 15 years, the firm has worked with Memorial Sloan-Ketter-ing on numerous projects including an expan-sion of the Radiology Department to support an interventional therapy program and great-ly expanded diagnostic capabilities both on and off campus; the development of a proto-type OR for their MIS program; the design of their integrated intra-operative MRI-OR; and the construction of the animal research com-ponents for these programs in their Zucker-man Laboratory facility.

This 50,000 square foot $100,000,000 project contains the Surgical Day Hospital and the Center for Image Guided Interventional & Minimally Invasive Therapy. From the Recep-tion and Waiting Areas to the Private Pre- and Post-Op Rooms which feature private rooms with doors and quiet spaces that provide op-portunities for private encounters and con-sultation, the emphasis on the quality of the whole patient experience is immediately ap-parent.

The Surgical Day Hospital consists of seven OR’s and support systems that allow it to function as an independent outpatient facil-ity. Utilizing state-of-the-art interventional imaging and therapeutic tools, the center can support interventional endoscopic and minimally invasive surgical options as well as image guided procedures with real time guidance and feedback. By working closely with both the Radiology and Peri-operative Departments, Jeffery Berman Architect was also able to design a common workflow and patient experience that met the needs of the surgical and interventional program without disrupting their abilities to work alone or in composite procedures. Consensus building, broad cooperation and collaboration across subspecialty boundaries was key to the suc-cessful design of the Center and is vital to its efficient operation.

All MSKCC OR’s have implemented an OR integration and image management system with standardized systems, controls and com-mon menus and protocols compatible with all rooms and procedures. This system creates a common experience for staff, regardless of their location, and allows them to move eas-ily from modality to modality or from the OR to an interventional room without additional training.

Memorial Sloan Kettering Cancer Center Surgical Day Hospital & Center for Image Guided Intervention

Memorial Sloan Kettering Cancer Center Surgical Day Hospital & Center for Image Guided Intervention

endoscopy suite

reception family waiting and private consult rooms

public corridor

pre/post op suite

building infrastructure

clean and soiled utility rooms

pre/post op isolation rooms

OR’s pharmacy anestesia support

clean work room OR core

cigi Or’s and control rooms

The design of a Hybrid OR with essential equipment for interventional and combined procedures poses particular challenges for the architect. The layouts and the room sizes must be designed to maintain sterile fields and work areas while also accommodating the equipment infrastructure. GE Healthcare, MSKCC and JBA worked collaboratively to transform the Department’s standard imag-ing and diagnostic equipment so that it could be used in sterile OR interventional rooms. Jeffrey Berman Architect added infrastruc-ture and integrated the components where required to make these new work environ-ments compatible with the MSKCC standard OR protocols.

The creation of the Surgical Day Hospital and the Center for Image Guided Intervention was possible because Memorial Sloan Ket-tering Cancer Center evolved together with technology. As new technologies became available, the institution was able to test and integrate them into their general practice. By bringing surgeons, endoscopy practice and interventional radiology processes together

in sterile OR environments, MSKCC provides an opportunity for these disciplines to work collaboratively to develop new tools and pro-cedures in each of their practice areas as well as composite procedures which transcend the boundaries of a single specialty and allow treatments that require collaboration of mul-tiple disciplines in a specialized environment.

The ability to join image guided intervention and minimally invasive surgical treatments with other cancer treatments puts Memorial Sloan- Kettering Cancer Center in a unique position to develop ground-breaking mini-mally invasive cancer therapies which are faster, less costly and safer than ever before.

Jeffrey Berman Architect is proud to have had the opportunity to design the environment that makes these outcomes possible.

ENTRANCE TO RECEPTION

WAITING AREA

Waiting Area

Entrance to Reception

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Private Consult/Interview Rooms

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The entrance to this facility was placed close to the front door of the hospital. It contains quiet spaces for waiting and private rooms for consultations, meetings and interviews between patients and staff.

Entrance to Reception Area

Waiting Area

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PRE/POST OP PATIENT ROOMS

Pre/Post Op Private Patient Rooms

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The Pre and Post Op area contains private rooms with views and abundant natural light for each patient. The area was planned to minimize patient movement dur-ing a visit and provide privacy for discussions between patients and staff.

Pre/Post Op Private Patient Rooms

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PRE/POST OP CLINICIANS STATION

OR CLEAN CORE AND WORK ROOM

OR Clean Core and Work Room

Pre/Post Op Clinicians Station

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In this ambulatory care setting where patients walk to their procedures often accompanied by family mem-bers in the Pre and Post Op area, special attention was given to the design of work areas that provide quiet and privacy for the staff as well as opportunities for oversight and access by the patient.

OR Clean Core and Work Room

Pre/Post Op Clinicians Station

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ANGIO CT

3T MRI

Angio CT

3.OT Interventional MRI OR

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Diagnostic and interventional systems were integrated into standard MSKCC OR environments with common controls and information displays.

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1.5T Wide Bore Interventional MRI OR

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3.OT Interventional MRI OR

Angio CT

JEFFREY BERMAN ARCHITECT

CONTROL ROOM

ENDOSCOPY ROOM

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Common Control Room

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Endoscopy Suite

Common control areas are planned for consistent inter-face and control orientations. Similar rooms are always planned to minimize differences and reduce errors.

Endoscopy Room

View to Angio/CT OR2 from Common Control Room

JEFFREY BERMAN ARCHITECT

CYTOSCOPY OR

TYPICAL MIS/GENERAL OR

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7 OR’s including MIS/ General OR and Cytoscopy OR

OR’s are designed to a MSKCC common standard. Equipment is always integrated within the standard work environments and interfaces remain consistent throughout 38 OR’s on two floors.

Typical MIS/General OR

Cytoscopy OR

JEFFREY BERMAN ARCHITECT

PET/CT Hybrid OR

PET/CT HYBRID OR

PET/CT Hybrid OR q

The OR sterile environment and systems are adapted to provide OR interventional support and the standard working process for staff for diagnostic equipment such as the latest model GE PET/CT and MR.

JEFFREY BERMAN ARCHITECT

Animal Medical Center, New York

Cardiac Imaging Group

Columbia University

Concorde Medical Group

Doctors’ Hospital of Staten Island

Elmhurst Hospital

General Electric

Kips Bay Endoscopy Center

Long Island College Hospital

Long Island Digestive Disease Center

Memorial Sloan-Kettering Cancer Center

Montefiore Medical Center

NYC Health and Hospitals Corporation

New York Methodist Hospital

New York-Presbyterian Hospital

Our Lady of Mercy Medical Center

Saint Claire’s Hospital

Saint Vincent’s Catholic Medical Centers of New York

Staten Island University Hospital

SUNY Downstate Medical Center

Westchester Medical Center

Veterans Administration Health Care System

JEFFREY BERMAN ARCHITECTSELECTED CLIENTS

Jeffrey Berman has built a firm based on the design of specialized and technically com-

plex projects for a broad range of governmen-tal, institutional, and private clients.

Since founding the firm in 1988, Mr. Berman has designed projects for many clients throughout the New York City area, including the American Museum of Natural History, Memorial Sloan-Kettering Cancer Center, New York Presbyte-rian Hospital, Concorde Medical Group, The Mount Sinai Medical Center, SUNY Downstate Medical Center, Liberty Science Center, Wild-life Conservation Society at the Bronx Zoo, Na-tional Organization for Industrial Trade Unions, and General Electric Medical Systems. The projects for these facilities include the design of research, medical, office and exhibition ar-eas, as well as facility and space planning ser-vices.

Mr. Berman’s practice of architecture special-izes in the design, planning and programming of facilities requiring technologically advanced systems and equipment, including state-of the-art medical diagnostic imaging centers, operating suites, data processing centers, and office renovations with special environmental control systems, as well as communications and security needs.

As a healthcare design and facilities planning specialist and one of the few Board Certified members of the American College of Health-care Architects, Mr. Berman is involved with the

design of major renovation and modernization programs for several area hospitals. His work at The Long Island College Hospital involved the master planning, redesign and rebuilding of their medical campus. This extensive mod-ernization program included the design of new construction, complete gut renovations and the design of newly acquired properties. This program included the renovation of the Psy-chiatric Emergency Department and Psychiat-ric Department’s Offices, new parking facilities and major departmental re-sitting.

A testament to his longstanding working re-lationship with the Memorial Sloan-Kettering Cancer Center, Mr. Berman was selected to work on the Master Planning and design of Memorial Sloan-Kettering Cancer Center’s Ra-diology Department, Radiation Oncology De-partment and Nuclear Medicine Department. His work has also included long-term strategic planning and specialty technology consulting.

Mr. Berman’s work at the American Museum of Natural History includes the museum’s perma-nent exhibit, entitled The Hall of Human Biol-ogy and Evolution, two molecular biology re-search facilities, and the renovation of 200,000 square feet of gallery space to include air con-ditioning and climate control systems. He has also designed state of the art storage facilities for the Entomology and Anthropology Depart-ments at the Museum; and prepared feasibility and planning studies for renovations and ex-pansions to the Anthropology Department’s

JEFFREY BERMAN, AIA, ACHAPRINCIPAL

Collection Management facilities, Archives, and Conservation Laboratories. Recently com-pleted departmental renovations include the Ornithology, Ichthyology, Mammalogy, Con-struction and Exhibition Departments as well as the Anthropology Department’s Collection Management facilities, Archives, and Conser-vation Laboratories.

Most recently, Mr. Berman oversaw the mas-ter planning and design of a state-of-the-art, 50,000 square-foot new facility that will join minimally invasive surgery, interventional radi-ology, Endoscopy and radiation oncology into one cancer treatment center. Currently, he is designing the next group of OR’s for MSKCC as well as the renovation and expansion of the LEED Silver Certified quarantine building for the Wildlife Conservation Society at the Bronx Zoo.

Mr. Berman is a board-certified healthcare specialist, certified by the American College of Healthcare Architects to which he was in-ducted in 2000 as a founding member. He is currently a member of the New York State De-partment of Health, the Office of Health Safety Management’s Construction Standards Advi-sory Group, and a past chairman of the Health Facilities Committee of the American Institute of Architects, New York Chapter.

Mr. Berman is a licensed Architect in New York, New Jersey, Connecticut, Pennsylvania, Mas-sachusetts, Vermont, and Missouri. He also holds NCARB certification. He received his degree from the Massachusetts Institute of Technology in 1980.

JEFFREY BERMAN ARCHITECT

JEFFREY BERMAN, AIA, ACHAPRINCIPAL

JEFFREY BERMAN ARCHITECT545 Eighth Avenue, 18th Floor New York, NY 10018-4307Tel. (212) 967-3400 Fax. (212) 967-9731info@jbarch.comwww.jbarch.com

Photography Courtesy of John Bartelstone Photography LLCGraphic Design: Meghan Calhoun